Jobs Companies Inovalon Product Owner - Claims

Über diese Product Owner - Claims Stelle bei Inovalon

Inovalon · Hybrid · Remote- United States

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.

Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

Work Location: This position is designated as remote. However, employees who reside within a 40-mile radius of one of our office locations in Tampa, FL; Canonsburg, PA; or Bowie, MD will follow a hybrid work schedule and are expected to work in the office two days per week (Tuesdays and Wednesdays).

Overview: The Product Owner is responsible for establishing a deep product expertise both from a technical and market perspective by understanding buyer and user personas, value proposition, benefits, features and functionality, competitive landscape, architecture, code base, and technical components. This person collaborates closely with other product owners, product managers, scrum master(s), and development managers to leverage Agile processes and tools which support product requirements, sprint review, backlog refinement (grooming), sprint planning, retrospectives, and backlog/ticket creation. This role will partner closely with product managers in reviewing product roadmaps and drive the prioritization of work accordingly. The Product Owner will partner closely with product managers in reviewing product roadmaps and drive prioritization of work accordingly. This role will plan, prioritize, and maintain product feature backlog and development for a product. This person has prior experience with software-as-a-service (SAAS) distribution models. 

Duties and Responsibilities: 

  • Own feature enhancements within the Claims prioritized backlog, drive sprint planning, backlog refinement, reviews, and retrospectives in partnership with engineering.
  • Drive end-to-end claims processing capabilities and automation across all payer types (Medicare, Medicaid, and commercial), ensuring compliance with HIPAA and ICD-10 standards; leverage industry-standard formats (837 UB/1500) and rules engines to achieve high first-pass rates and minimize denials. 
  • Lead integration of Electronic Data Interchange (EDI) transactions and revenue cycle workflows to streamline claim submission, ERA reconciliation, and secondary claim handling; partner with engineering and payer teams to optimize automation, reduce administrative burden, and accelerate reimbursement cycles.
  • Adopt and role model Agile behaviors while building an inclusive team culture.
  • Drive strong collaboration across internal stakeholders including product, engineering, corporate development, and marketing to ensure timely execution and delivery of our products to market.  
  • Engage with internal and external stakeholders to inform product and feature design to drive perspective, requirements, and prioritization of the backlog in line with the product vision and while communicating expectations to internal and external stakeholders.  
  • Develop detailed business requirements that meet the needs of internal and external stakeholders and support corporate objectives; 
  • Analyze the current system or application, conceptualize and define operational problems, model and present recommended enhancements and modifications, and walk each new enhancement or modification through the development process, from planning and preparation to testing and implementation; 
  • Oversee the design, prioritization, and delivery of products through the software development lifecycle, from concept to testing, deployment, adoption and value realization
  • Perform validation and testing of solutions through managing and executing user acceptance plans, collaborating with the engineering team during user testing and complex validation sessions, and responding to technical and functional product questions raised by stakeholders, and reformulate solutions as necessary to ensure that the recommended solution is responsive to the data requirements; 
  • Analyze the impact of a proposed solution on connected processes, systems, and/or applications to determine the best course of action to achieve the desired outcome; 
  • Assist in the development of roadmaps and business strategy for assigned product or department; 
  • Demonstrate robust knowledge of the healthcare industry, product management, and software development to translate problems, needs, and opportunities into user stories.   
  • Display effective time management across complex and overlapping projects while supporting your team with schedule and priority management.  
  • Maintain compliance with Inovalon’s policies, procedures and mission statement; 
  • Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; and 
  • Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Employer.  

Job Requirements:  

  • Minimum 3 years of experience with SAAS healthcare product ownership, business analysis, or product management roles with proven domain knowledge of claims workflows, EDI, and payer requirements.
  • Agile / SCRUM experience and/or certification; 
  • Excellent interpersonal, written, and oral communication skills; 
  • High level of honesty, respect, dependability and flexibility; 
  • Experience in fast-paced and rapidly growing environment; 
  • Strong business acumen; 
  • Must be comfortable gathering feedback from internal and external stakeholders. 
  • Proficiency of Microsoft Office tools, including Word, Excel, and PowerPoint preferred; and
  • Great organizational skills and ‘get things done’ attitude. 

Education: 

  • Bachelor’s Degree or an equivalent combination of education and experience.  

Physical Demands and Work Environment: 

  • Sedentary work (i.e., sitting for long periods of time); 
  • Exerting up to 10 pounds of force occasionally and/or negligible amount of force;   
  • Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;  
  • Subject to inside environmental conditions; and  
  • Travel for this position will include up to 10%.  

Inovalon Offers a Competitive Salary and Benefits Package

In addition to the base compensation, this position may be eligible for performance-based incentives.

The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity.  At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate.

Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That’s why Inovalon offers a valuable benefits package with a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more.

Base Compensation Range
$84,600$97,000 USD

This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions)

If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply.  Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles. 

By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth. 

Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement. 

To review the legal requirements, including all labor law posters, please visit this link

To review the California Consumer Privacy Statement: Disclosures for California Residents, please visit this link

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Wie sich dieses Gehalt für Product Owner vergleicht

Diese Stelle zahlt $90,800/yrunter der üblichen Spanne für Product Owner Stellen.

$77,519 dem Median $117,500 $169,500

Übliche Spanne $92,336–$145,000/yr, aus 37 vergleichbaren Product Owner Anzeigen auf JobsRadar (Vergütung auf USD hochgerechnet). Gehaltseinblicke für Product Owner ansehen →

Über Inovalon

Inovalon is a leading provider of cloud-based platforms empowering data-driven healthcare.

At the core of healthcare today is the need to aggregate and analyze large amounts of disparate data, garner meaningful insight from the results, and use these insights to drive material change to outcomes and economics.

The industry-leading capabilities of the Inovalon ONE® Platform empower our clients and partners to succeed by leveraging extensive industry connectivity, massive primary-source real-world datasets, sophisticated analytics, and powerful cloud-based technologies to improve the outcomes and economics of healthcare. From payers and providers to life sciences organizations and pharmacy solution providers, virtually anyone who participates in the healthcare ecosystem can benefit from our powerful Platform capabilities.

  • For health plans, our Platform provides analytics and insights to improve operational transparency, clinical quality metrics, risk-score accuracy, patient engagement, outcomes and economic performance.
  • For providers, our Platform delivers real-time data and analytics that simplifies the administrative and clinical complexities of healthcare, and enables actionable insights to drive improved quality of care and informed decision making at the point of care.
  • For life sciences companies, our Platform empowers health economics and outcomes research, the identification of optimal treatment protocols, ideal commercialization strategies, and outcomes-based contracting.
  • For pharmacy organizations, our Platform delivers efficiencies and differentiation throughout the enterprise from referral to delivery to ongoing care, speeding time to treatment, reducing costs of operations, improving patient care and economics.

The Company maintains a drug free work environment for all of its associates, which includes employees, contractors and vendors.  It is unlawful for associates to manufacture, sell, distribute, dispense, possess or use any controlled substance or marijuana in the workplace and doing so will result in disciplinary action, up to and including termination of employment or the contracted relationship. 

 

 

 

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